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General NPI Number Information
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NPI Number | 1356871685
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Entity Type | Individual
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Provider Name | JESSE T ESPE DPT
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Gender | Male
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 101 FOREST ST
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City | WAUSAU
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State | WI
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Zip | 54403-5514
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Country | US
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Telephone | 715-301-0197
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Fax | 715-227-4858
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Provider Business Mailing Address
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Address Line | 5232 CROCUS CT
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City | STEVENS POINT
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State | WI
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Zip | 54481-5601
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Country | US
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Telephone | 715-301-0197
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Fax | 715-227-4858
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 15576-24
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070023314
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License Number State | IL
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